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Factors influencing the Covid-19 vaccine uptake among Ukrainian refugees in Poland

A cross-sectional study

Bibliographic Data

ID22071016
AuthorsOskar Pasek (University of Zielona Góra), Łukasz Duda-Duma (0000-0001-7544-486X, University of Zielona Góra), Daria Lizurej (Student Research Group, Collegium Medicum, University of Zielona Góra), Anna Sikora (0000-0002-7641-3050, University Hospital in Zielona Góra), Klaudia Pyzio (University of Zielona Góra), Maria Gańczak (0000-0002-6424-128X, Department of Infectious Diseases, Collegium Medicum University of Zielona Góra)
Year2026
Volume14
Pages1786387-1786387
Publication date2026-04-30
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueFrontiers in Public Health (JOURNAL)
Journal identifiersISSN: 2296-2565 • E-ISSN: 2296-2565
PublisherFrontiers Media SA (PUBLISHER • CH)
DOI10.3389/fpubh.2026.1786387
PMID42145500
OpenAlexW7159862404
LanguageEN
References cited49

Background The COVID-19 vaccination of Ukrainian refugees (UR) should be a top priority. Methods Between May and July 2023, we conducted a cross-sectional study that surveyed consecutive UR registering at a refugee center in Zielona Gora, Poland, about COVID-19 vaccination and influencing factors. A self-administered, anonymous questionnaire was used. Results Response rate was 83.4%. A total of 837 Ukrainians participated in the study, including 41.6% males. The largest age group (31.6%) was between 31 and 40 years old. Most respondents (61.2%) had previously lived in Ukrainian cities with fewer than 250,000 inhabitants. The majority were single (68.9%), and 57.5% reported low socioeconomic status (SES). Slightly over half of the participants (51%) had graduated from primary or vocational school. Less than one-fifth of respondents (18.3%) had completed the full COVID-19 vaccination course. The most frequently reported motivation for vaccination was protection of one’s own health (27.1%), followed by protection of family members’ health (13.3%). In addition, 27.8% reported receiving an influenza vaccination within the last 5 years, 22.8% had previously been infected with SARS-CoV-2, and 25.6% reported COVID-19 infection in a family member. The multilevel logistic regression model showed strong associations between COVID-19 vaccination and prior SARS-CoV-2 infection (OR = 7.39; p < 0.0001), regular influenza vaccination (OR = 3.34; p < 0.0001), origin from a Ukrainian city with more than 250,000 inhabitants (OR = 1.89; p = 0.0001), and willingness to travel abroad (OR = 1.89; p = 0.0001). Conclusion The uptake of the full COVID-19 vaccination course among UR in Poland was disturbingly low. UR seek vaccination primarily for altruistic motives, i.e., to protect themselves and others. Educational programs should emphasize the benefits of the COVID-19 vaccine and raise awareness of its importance, effectiveness, and safety, with targeted outreach to high-risk groups identified in this study

Cross-sectional study · Ethnic group · Logistic regression · Refugee · Socioeconomic status · Ukrainian · Vaccination · COVID-19 epidemiological studies · Migration, Health and Trauma · Vaccine Coverage and Hesitancy

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